The purpose of the questionnaire is to see whether you have any health problems that could affect your ability to undertake the duties of the post you have been offered or place you at any risk in the workplace. We may recommend adjustments or assistance as a result of this assessment to enable you to do the job. Our aim is to promote and maintain the health of all people at work. Before health clearance is given for employment you may be contacted by Healthier Business Ltd and may need to be seen by an occupational health advisor or physician.
Please note that we require your proof of immunity as part of the registration process; however you are not required to submit this form until a job offer has been made.
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Home Address
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Confidentiality
If you are successful in your application for employment with WelCare 247: All information you see or hear in the course of your duty is confidential. You must not disclose any personal details or information relating to clients, their medical conditions or information which is deemed to be commercially sensitive to the organisation.
Data Processing
Personal information collected on this declaration will be processed and stored in full accordance with the Data Protection Act 1998 and the General Data Protection Regulation 2018. In line with the legislation WelCare 247 files are kept securely in a safe and secure location. You understand that any personal detail held by WelCare 247 may be accessed for time to time by inspectors from the care quality commission, other regulatory bodies and designated individuals in line with contractual obligations.
Working Time Regulations 1998
The European Union has laid down guidelines for all workers, governing the length of the maximum working week that is safe to work. The current limit is 48 hours per week. Because you are under no obligation to accept work offered you will not be be compelled to work more than 48 hours per week, however you may choose to do so.
Please tick the appropriate box to confirm that you have read and understood the above information. *
How did you hear about
Recommendations
understand that if any recommendations to my employer are necessary as a result of this Assessment:
- I give consent for Healthier Business UK Ltd to make recommendations to my employer,without me having seen a written copy of the recommendations first.
- I would like to see a written copy of any recommendations the Health and Work Centre maymake to my employer before they are sent to my employer.
- I give consent for Athona to contact the Occupational Health provider who supplied my results for the purpose of verification.
Declaration
I declare that the answers to the above questions are true and complete to the best of my knowledge and belief.
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